Letter of Intent application | Fundación Síndrome de Dravet

Letter of Intent application form

Thank you for your interest in applying for the FSD Call for Innovative Research Projects in Advanced Therapies for Dravet Syndrome. We hope to see some exciting, innovative and impactful project proposals.

Please carefully fill out the following Letter of Intent application form. Letters of Intents must be received no later than December 6, 2020.

Letter of Intent application form

Title of the project*

Characters left: 150

Keywords*

Characters left: 35

Details of the Principal Investigator:

First name*

Last name*

Affiliation*

ORCID*

Email address*

Details of the rest of the research team (optional)

Characters left: 1000

Details of the Project:

Summary*

Characters left: 2100

Objectives*

Characters left: 1400

General Methods*

Characters left: 4200

General Timeline*

Characters left: 1400

General Budget and Justification*

Characters left: 2800

Expected Results*

Characters left: 1400

If applicable, feasibility of the project for future transfer to clinical research

Characters left: 1400

Contact information for all correspondence:

First name*

Last name*

Affiliation*

Address*

ORCID*

Phone number*

Email address*

By clicking this box, I hereby confirm that I have read and understood both the entire Privacy Policy and all terms of the Call for Innovative Research Projects in Advanced Therapies for Dravet Syndrome, and agree to all statements.